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  • amount of paris to change, whether it is -- payers to change or whether it is medicare or medicaid, if a quarter are saying this but 3/4 is paying the other way, it is very hard to make the move. i have heard numbers between 30% and 60% need to begin talking in one direction for the system to really transform. we are getting to that tipping point in places like oregon and in other states, massachuset
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